Humboldt Botanical Gardens Foundation Membership Application/Renewal Form
Print this form by clicking the FILE button then PRINT.
Fill the form out, and send it along with payment information to
Humboldt Botanical Gardens Foundation
P.O. Box 6117 Eureka, CA. 95502-6117

Fax: (707) 442-6634
Annual Membership Rates
(please select one)

Individual $25
Family $40
Senior $20
Senior Family $35
Student $15
Classroom $15
Sponsor $100
Business $100
Organization $100
Lifetime $1000
Where did you hear about HBGF?
 
New Membership Renewal
Name:
Address:
City/State/Zip:
Phone:
Fax:
Email:
HBGF Gift Membership
Recipient's Information
Name:
Address:
City/State/Zip:
Phone:
 
Payment Information
Visa MasterCard Check # Cash
Card Holder Name:
Card Number:
Expiration Date:
Signature:
Membership: $
Gift Membership: $
FOGbank Donation: $
*Memorial Donation: $ For:
Send Acknowledgment To:
Total: $
*FOG donations and Memorials go directly toward creation of the Garden.
 Memorial donations are not placed in FOG accounts

 The Humboldt Botanical Gardens Foundation is a not for profit 501(c)(3) public benefit corporation, Tax ID# 68-0243631.  Contributions are tax deductible to the extent allowed by law.